What is Male Pattern Baldness?
Your hair has roots which are present in the skin roughly 2.5 mm deep.
These are called Follicles. As shown in the diagram, the male hormone i.e. DHT(De-Hydro-testosterone) attaches on the hair roots & causes some chain of reactions which makes the hair fall off (as shown in the diagram).
For the male hormone to go and attach on the Hair Root, it requires a Receptor Site where it can go and attach.
These receptors are absent on the hair roots of the back-side of the head.
This area is called as the Donor Area or Permanent Zone or Bald Resistant Zone.
The male hormone therefore, cannot attach on the hair roots of the donor area (as they do not have the receptor site for attachment of the male hormone).
Therefore the hair in these areas wont be affected by the male hormone and would stay permanently for the whole life.
That is why this area is called as Permanent Zone. So we take the hair from this area and implant it into the bald area, so that later these implanted hair should not fall-off because of the effects of DHT.
This forms the logic of Hair Transplant.
How many Hair or Follicular Units will I require
Hair implantation is desired is subjective factor. Which will depend upon your own wish.
Density desired Density can be divided into.
Fuller density = which implants about 45 FU/sq.cm.
Camouflage density = which implants about 22 FU/sq.cm.
In Fuller density >>> you will get a full look of hair. In Camouflage density >>> the baldness will be covered,but you wont have fuller look.
How is Hair Transplant done?
In Hair Transplant, the healthy bald resistant hair from your donor area are removed and then implanted into the bald area. This implanted hair will stay for your whole life and will grow naturally.
What are the different ways of doing a Hair Transplant?
Hair transplant is done in 2 basic ways i.e.
1) Strip technique or FUT: Surgical technique involves harvesting a strip of skin from your Backside of head. The hair are then separated and implanted on the bald area.
* This involves cutting your scalp skin, then stitching it.
* This technique is therefore painful, gives a long linear scar.
2) FUE (Follicular Unit Extraction):FUE is a virtually non invasive technique of transplant wherein hair are removed from the back side of the head (Donor Area), one by one, without taking any incision and they are then transferred to the bald patches.
* Minimally invasive, no cuts, no scars, faster recovery
* Not Painful
What is Anagen technique (Hair Transplant)?
This technique is most minimally invasive without any cuts OR Stitches and minimal scars or Pain and minimal Bleeding and with no or minimal down-time or side-effects.
What are the advantages of Anagen technique?
Our technique is most minimally invasive without any cuts, Stitches and minimal Scars, Pain and minimal Bleeding and with minimal down-time or side-effects. Active Roots technique is a technique which has no cuts both while extraction or implantation.
How do the results come?
Results come in 3 phases:
1) Growth Phase: Where the hair grows about 1-2 cms for the first 4-6 weeks.
2) Temporary shedding phase: Where the grown implanted hair will start falling. This phase will last for about 3 months. You shouldnt get worried in this phase. The hair will again come back.
3) Permanent Growth Phase: Here all the fallen hair will again start growing. These hair are the normal hair with normal characteristics and will grow naturally.
What about my present existing hair? How do I prevent them from falling?
Your pre-existing hair is always vulnerable to fall because of the effects of DHT. We recommend you to start taking medication to prevent the falling of your pre-existing hair.
Can I customize my Hair Transplant?
You can decide for yourself for the area where you want the Hair Transplant done. You can also decide for yourself as to how many grafts you want in the bald area.
When do we get the results?
You can roughly see the results at 15 days. Whatever look you see on the 15th day, would almost be mimicked at the end result, which would roughly come after 6-8 months time.
What is the cost of the transplant?
It depends upon how much baldness you are having right now. For that please come down for a one-to-one consultation with our experts, which is free of cost or send your photographs at firstname.lastname@example.org to get an approximation of your requirements. The cost other-wise is Rs.12/Hair
What are the side-effects?
Our technique has no or minimal side-effect free and there is Minimal or no recovery time or down time. You can resume your regular duties immediately.
Do I need to shave my head?
We need to trim the donor area and the recipient area to make the procedure easy and result oriented. So ideally, yes we need to trim your hair.
What about my existing hair? Will they fall off?
Your existing hair is always under the effects of DHT, therefore they are prone to fall off. When would they fall off cant be told. So, it is advised that you start medications for your existing hair so that they are preserved and dont fall. The medications are not required for the transplanted hair as they are bald resistant and permanent.
Do I need to take any medicines?
You will be required to take post-procedure medicines for 5 days as prescribed by the doctor.
Do I need to wear a cap?
You can start wearing a cap from the day one, though it is not mandatory to do so.
Do the medications have any side-effects?
The medications that we give are all DHT Blockers but without any side-effects. You can continue them for your whole life as well.
Does it look odd after doing the Hair Transplant?
No. But you can wear a cap if you want to hide that.
What is Min. & Max Age of HT?
21 years to 65 years, provided you are medically fit for the procedure.
What is different between two follicular Units/Grafts?
Nothing both are Same.
How many number of days required?
In a single session which may last over 2 days, about 3500 grafts can be transplanted, depending upon patients donor-area More than 3500 grafts can be transplanted in another session, after 15-20 days.
Does it really work?
Yes! Hair transplant surgery redistributes existing, healthy hair, which is usually genetically encoded to virtually last a lifetime. Conventional hair transplant growth rates are at about 90-95%.
Will I get a full head of hair?
No.remember, the technique redistributes existing, healthy hair. It does not create any new hair. So it is not possible to provide a full head of hair. However, a comparatively small amount of hair transplanted expertly can produce the illusion of substantially more hair than there actually is. The results will improve how you look to others and to yourself.
How long will it take to grow?
Your transplant will be fully grown approximately 9 months after your All Follicular Unit Megasession.
Will this procedure mean time off from work?
Little or no time off from work is required. But if you are sensitive about how you will look during the days immediately following, you can wear a hat, or, if thats not possible in your work environment, We recommends beginning the process just before your holidays. Many patients return to work the next day. In fact, many play a round of golf the day following their procedure! Sun and salt water are said to speed the scalps healing process, usually producing an acceptable looking appearance after just one week. However, every person is different. Beyond examination, your consultation is a good source to be informed of possible strategies for your unique situation.
Is the procedure painful?
Most patients watch a movie or take a nap while we work. Afterwards, they tell us that during the procedure they felt no pain. Any discomfort they feel afterwards is usually very temporary and nearly always minimal. Approximately 25% of patients elect to take pain relieving pills during the following 1-2 days.
Is the procedure dangerous?
No. It is minor surface surgery, literally only skin deep, and one of the safest surgical procedures ever performed. You are under the care of qualified medical staff at all times. Your transplant takes place (using equipment kept to hospital standards) in a private office.
Is the surgery expensive?
Comparatively, no. While there are costs involved, the benefits of growing your own hair make hair transplantation much more cost-effective than other methods, because afterwards no further expense is incurred. There are no expensive chemicals to be bought or used continually. There are no expensive hair pieces to be maintained, repaired, tinted, conditioned and replaced regularly every 18 months in order to look natural. So, weighed in the light of all possible alternatives, the hair transplant solution is not only the best, but is also the most economical overall.
I have heard from other hair transplant doctors that mega-sessions dont often grow or can produce disastrous results. Is this true?
Some doctors who have not kept abreast of these new advanced techniques (They perhaps dont want to go through the extra trouble and expense of purchasing the microscopes, hiring and training the extra staff- and handling the tremendous amount of administrative problems that come with it) often make untrue statements denigrating megasessions. They also probably dont wish to face the learning curve of this obviously more exact procedure.
Be that as it may, many of these doctors wont consider the Binocular Stereoscopic Dissecting Microscope procedure purely in terms of how it will affect their profit margin. Lets face it- these All Follicular Unit Megasessions typically run from 8-12 hours to complete, with the painstaking effort of a large attendant staff. To the average hair transplant doctor, this would greatly increase their workload and overhead. Of course, for them, it would be much easier to say you cant do over a thousand grafts at one session or megasessions produce poor growth and waste hairs, or megasessions produce too thin a result.
However, in fairness to some of these other doctors, it must be stated that without highly skilled technicians, adequately trained and practiced in the most advanced dissection techniques using the binocular stereoscopic dissecting microscope, and without extreme attention paid to detail at every step along the hair transplant process- other hair transplant facilities, especially those without a lot of experience with megasessions, may well frequently obtain poor results.
What steps should I take before surgery?
Maintain an adequate length of hair on the back of your head. This should be at least one inch long, or you may have a pro- blem covering up the sutures after the surgery. Your donor grafts will be removed from here and you should expect cover- age following your procedure.
Two weeks before surgery -
NO ASPIRIN (acetylsalicylic acid - A.S.A.) or anti-inflammatory medications containing Aspirin. Note: these medications are included in many over-the counter medications.
NO VITAMIN E tablets.
Day before surgery
Make arrangements for someone to take you to and from the clinic.
Wash your hair in the morning using your regular shampoo.
Wear a button- down shirt and comfortable, easily laundered pants. You should also bring an adjustable baseball cap or scarf along with you.
No tight sweaters or pullovers.
No tight hats or caps.
Do not wear anything that will have to be pulled tightly over your head.
Eat a light meal just before coming to the clinic.
Is the hair transplant surgery painful?
You may have heard that the process is very painful. But with the proper technique in the application of anesthesia, it does not have to be a painful pro- cess at all. It all depends on how the surgeon applies the anesthesia, and our office uses the least painful process available for the comfort of our patients. For a hair transplantation process, every surgeon uses either a nerve blocking process or a local anes- thesia; general anesthesia is never used in this case. Any pain at all during our procedure would be during the initial needle injection. Our office uses several techniques to reduce even this small pain. The anes- thesia is warmed to reduce reaction time, the skin is pre-numbed before each localized shot and the finest gauge needle (30 gauge) is used to minimize this pain. Initially, the patient is given a sedative through an IV medication. This sedative puts the patient into a relaxed, "twilight zone" state to minimize any pain there might be from the subsequent injections. The tumescent technique is used for pro- longing anesthesia time.
Most patients have informed me that the process was less painful than a routine trip to the dentist. In addition, the day after the hair trans- plant process, 50% of our patients do not require any pain relievers at all, and the other 50% will take Tylenol for only a few days until the discomfort is gone. Few of our patients request a pre- scription pain reliever. We feel that our procedures are much less painful in compari- son to many other offices. The only disadvantage to this "twilight zone" anesthesia is that the patient will not be able to drive on the day of the surgery. However, should the patient forego the "twilight zone" anesthesia and opt instead for a local anesthesia, he will be able to drive on that day.
How will the surgery affect me when I return to work the following day?For the first twenty- four hours, there will be a strip of bandage around the head. After that, you will be able to remove the bandage and shampoo your hair as usual. If you have the surgery done on the hairline, the small scabs will remain for seven to ten days. Some patients may want to cover the area with a cap or even a hairpiece at work if they desire. If you have partial hair, it is much easier to cover up the area, or you can use a camouflage product.When the small scabs fall off after seven to ten days, the freshly implanted grafts will be a pink, slightly shiny, skin which is usually a similar color to the surrounding normal skin and is minimally obvious at first. After approximately six weeks, the areas where the grafts were transplanted are barely visible. Pre-existing hair adjacent to the trans- planted grafts may shed, giving a thinner look, but hair will begin to grow back within a few months. This temporary thinning of pre-existing hair is called Telogen Effluvia. Unfortunately there is a time lag between this increased thinning of pre- existing hair and re-growth of transplanted hair.
How many sessions of surgery will I need?If you have a completely bald area, it may take two to three surgeries to cover your entire head. If you have an area partially covered with hair, it may take only one surgery to fill in the area. Our goal is to restore about twenty-five percent of the donors original density in each surgery. After two surgeries, the density is at about fifty percent which is often adequate coverage to satisfy the patient. The time between each session is usually three to four months in order to see how the hair is growing out and to provide more equal distribution.
How long does it take the transplanted hair to grow out enough to fill in the balding area?
Usually it takes three to four months for the hair to grow out. After that it will grow about half an inch per month which is the same rate as the donor hair. Initial hair quality is usually very thin, like baby hair. Then, it becomes coarser over time. Sometimes the initial hair is curlier, then it straightens in about one year. The color of the initial hair may also be darker and later will be lightened by the sun.
How long will the transplanted hair continue to grow?
Basically, the transplanted hair is the hair from the back of the head. Even though it is transplanted, it will still have the same life span. Normally, a hair follicle sheds every three to six years and then grows back from the same root. The transplanted hair continues the same life circle.
Can hair transplantation affect the rest of my hair?
Hair roots are very tough and can tolerate surgery or any irritation
What are some possible complications?
Hair roots are very tough and can tolerate surgery or any irritationHiccups